Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,630.27 / $10,715.19	Facility		$302.00	$2,630.27	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,511.89 / $7,943.28	Facility		$954.99	$2,511.89	$7,943.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $794.33	Facility		$181.97	$204.17	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $1,318.26	Facility		$331.13	$457.09	$1,318.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $1,288.25	Facility		$331.13	$457.09	$1,288.25
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,479.11	Facility		$100.00	$100.00	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,398.83 / $4,897.79	Facility		$676.08	$2,398.83	$4,897.79